Critical access hospital · Tyndall, South Dakota · 25 beds · CMS certification number 431327
St. Michael's Hospital
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended June 30, 2025, settled, stamped by CMS September 18, 2026. 24 years on file, every one shown below. Also on the 340B covered-entity register.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $1.1M in its first year on file (2002) to $12.1M in 2025.
- Its result from patient care: −$2.6M (2023), −$2.8M (2024), −$2.7M (2025).
- 3 of the 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
- Medicaid paid for 0.7% of its inpatient days and Medicare for 71.4%.
- ST MICHAEL'S HOSPITAL, INC. holds 100% of it, on its Medicare enrollment.
Every statement is drawn from figures on this page; nothing is estimated.
24 years of filings
Net patient revenue against operating expenses, each year as filed.
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Beside its peers
Critical access hospitals in South Dakota with 25 to 49 beds, each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| St. Michael's Hospital | 25 | $12,061,405 | $14,757,441 | −22.4% |
| Community Memorial Hospital, Redfield | 25 | $18,049,924 | $19,759,889 | −9.5% |
| Fall River Health Services, Hot Springs | 25 | $32,149,653 | $32,655,791 | −1.6% |
| Freeman Medical Center, Freeman | 25 | $17,239,019 | $18,136,066 | −5.2% |
| Monument Health Sturgis Hospital, Sturgis | 25 | $40,547,796 | $39,671,557 | 2.2% |
| Sanford Webster Medical Center, Webster | 25 | $12,502,266 | $11,719,544 | 6.3% |
Patients and payers
- Discharges
- 123S-3 line 14, col 15
- Inpatient days
- 1,011S-3 line 14, col 8
- Beds in use, on an average day
- 2.8days ÷ days in year
- Occupancy
- 11.1%days ÷ bed days
- Medicare share of days
- 71.4%S-3 cols 6 ÷ 8
- Medicaid share of days
- 0.7%S-3 cols 7 ÷ 8
Who owns it
- ST MICHAEL'S HOSPITAL, INC.100%
Type of control on its cost report: voluntary nonprofit, other.
Owners of 5% or more, from CMS’s hospital ownership file (Medicare enrollment, October 1, 2026).
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by ST MICHAEL'S HOSPITAL INC (employer identification number 460225414) for tax year 2022. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $1,488,954 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $20,000 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $20,000 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $1,468,954 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.1179 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202401279349301010. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by ST MICHAEL'S HOSPITAL INC (employer identification number 460225414) for tax year 2022. The return lists this hospital as its one hospital facility.
| Name | Title | Role | Reportable comp, from this organization | Reportable comp, from related organizations | Other compensation |
|---|---|---|---|---|---|
| ANGELA SCHNETZER | PA-C | Highest-compensated employee | $127,787 | $0 | $5,104 |
| ASHLI DANILKO | CEO | Officer | $168,717 | $0 | $42,336 |
| AUSTIN KOCH | VICE CHAIR | Trustee/director, Officer | $0 | $0 | $0 |
| BEN HELLMANN | MEMBER BEG JAN 2023 | Trustee/director | $0 | $0 | $0 |
| CONNIE TJEERDSMA | BOARD CHAIR | Trustee/director, Officer | $0 | $0 | $0 |
| DR JAMES TORSNEY | MEMBER | Trustee/director | $0 | $0 | $0 |
| DR MELVIN WALLINGA | FAMILY PRACTICE PHYSICIAN | Highest-compensated employee | $215,905 | $0 | $36,431 |
| FATHER JOE FORCELLE | MEMBER | Trustee/director | $0 | $0 | $0 |
| JACLYN DVORACEK | PHARMACY MANAGER | Highest-compensated employee | $147,469 | $0 | $16,309 |
| JEREMIAH BERTSCHINGER | PHARMACIST | Highest-compensated employee | $135,889 | $0 | $16,191 |
| LAURIE JURRENS | SECRETARY | Trustee/director, Officer | $0 | $0 | $0 |
| LISA RONKE | DIRECTOR OF FINANCE | Officer | $78,245 | $0 | $5,552 |
| RICHARD R PIER | MEMBER UNTIL DEC 2022 | Trustee/director | $0 | $0 | $0 |
| SUSAN SHRADER | MEMBER BEG JAN 2023 | Trustee/director | $0 | $0 | $0 |
| TARA SCHAFERS | PHARMACIST | Highest-compensated employee | $135,897 | $0 | $14,847 |
E-file object id 202401279349301010. The IRS archive it was read from.
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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2024.ZIP, form CMS-2552-10, filed under CMS certification number 431327. Patients and payers: worksheet S-3 Part I of the same filing. Ownership: CMS Hospital All Owners and Hospital Enrollments.
How this page was built: the CMS Medicare cost report, file HOSP10FY2024.ZIP, read September 18, 2026.